Forests are one of the iconic symbols of British Columbia, and successive governments and companies operating here have largely focussed on the cheap, commodity lumber business that benefits industry. Former provincial forestry minister Bob Williams, who has been involved with the industry for five decades, proposes regional management of this valuable natural resource to benefit […]

For the first time, this winter we are making Our Schools/Our Selves available in its entirety online. This issue of Our Schools/Our Selves focuses on a number of key issues that education workers, parents, students, and public education advocates are confronting in schools and communities, and offers on-the-ground commentary and analysis of what needs to […]

I hope they make their well-heeled funders, such as the multi billionaire Koch brothers, proud. However, I’m sure the Kochs are more concerned that missteps by their progeny Mitt and Ryan are derailing their chance to buy the US presidency.

So back to the Fraser Institute and to three of their recent reports.

1.Â Â As Canada (and other countries) have increased their level of “market freedom” as measured by the Fraser Institute’s flagship Economic Freedom of the World report (and other measures of market freedom and deregulation), our productivity growth has declined — as Andrew Sharpe and Don Drummond recently highlighted.

Of course the relationship between these and other economic factors is complex (it makes little sense to directly compare Switzerland and Ethiopia) but I couldn’t help but notice that a number of countries that in recent years climbed to the top ranks of their “economic freedom index”, such as Iceland, Ireland, UK, and the US, subsequently suffered most from the economic crisis (and then have dropped in their rankings as their economies have tanked).

2.Â Â As Andrew Jackson recently pointed out on this blog, Canadian provinces ranked at the bottom in their indices of labour market (de)regulation, but top in their index of labour market performance. Many states in their top rank of labour market deregulation (public sector employment as share of total, minimum wages, unionization) performed worst in terms of labour market performance and growth.

3.Â Â And just last week the Fraser Institute released its 2012 annual report on “The Price of Public Health Insurance“. According to the media reports and summary BS on the Fraser Institute website, this study supposedly demonstrates that Canada’s public health care system costs the average Canadian family over $11,000 a year through the taxes they pay. Some columnists have even suggested that the average Canadian family pays more for public health care than US families pay for their health care.

Of course, this is all completely false, as anyone who actually takes the time to read the seven page report and do some very basic on-line research can easily find.

Â The Fraser report actually says that Canada’s public health care system will implicitly cost an “average Canadian family” $7,670 a year in taxes this year.

This wasn’t enough for the Fraser Institute’s misinformation meisters, so they used a larger than average sized family with a higher than average income level (over $100,000) as their “average family” in their releases, no doubt confident that journalists wouldn’t read all the way to page 3 of their report to get this information.

In fact, as data from the OECD and Canadian Institute for Health Information show, not only does Canada spend far less on total public and private health care per person than the United States (in 2010, US$4,445 per person in Canada vs $8,233 in the US), but Canada also spends less per person than the U.S. on our public health care system, (US$3,158 per person in Canada vs $3,967 per person in the US) while providing coverage for everybody with better quality and outcomes, while the US system leaves 50 million people uninsured.

According to the Kaiser Family Foundation’s authoritative annual report on health benefit costs, just released in September, the average annual costs of employer health care premiums in the US is $15,745 for family coverage this year and $5,615 for single coverage.

The cost of family health care premiums has almost doubled in the US over the past decade, rising by 97% since 2002, while the Fraser Institute’s calculations of the implicit cost of public health care for the average Canadian family has increased by 59.8%.

While employees in the US directly pay for about a third of these private health care premiums, they pay far more when they get sick through annual deductibles, co-payments and “co-insurance” which a large majority of all US plans have.

For instance, the average family deductible is at least $1,000; co-payments for emergency room visits over $100 a visit, and average “coinsurance” rates close to 20%.

The cheapest medical insurance my cousin, who is a doctor at a family clinic in New Hampshire, could get for his three person family was ~$10,000 a year with an $8,000 deductible — and they are all in excellent health and physical shape. In effect it’s catastrophic health insurance. He’s fortunate and can deal directly with his family’s medical problems: most of course can’t.

Much lower costs for employee health insurance premiums provides a major competitive advantage for Canadian firms compared to the US, which they should pay back through higher taxes– but which they don’t.

Despite the media reports, the Fraser report actually confirms that public health care is an excellent deal for most Canadian families, particularly for middle and low income families, as the CCPA’s report on Canada’s Quiet Bargain also demonstrated a few years ago.

Yes, it’s true that that higher income individuals and families may pay an implicitly higher amount for these public services through progressive taxes (when they pay them) but overall costs are much lower, so we all or at least 90% of us are much better off.

We could reduce the overall implicit costs of health care for families in Canada if we changed the tax system so businesses paid a higher share of tax revenues — but organizations such as the Fraser Institute continue to push hard in the opposite direction lobbying heavily for cuts to business taxes and shifting taxes onto households. Good work over there!

Yet another enlightening report from the Fraser Institute. (With adversaries like these….)

Comments

Hi Toby, great posting. I have a few friends down in the US that are highly active in the fight for better healthcare, with the Physicians for a National Health Program, basically the single payer crowd down south. that have made similar arguments on the economic logic of single payer healthcare.

However- despite all the rationality that the economics make, the destroyer of healthcare for all, such as the Fraser institute, will continue to push for health care for the one model- and it is quite weird because they keep trying, somehow, to make an economic argument and it just is not there.

I wish they would just come out and say- healthcare for individuals with money, is much superior than healthcare for all. There is no denying that healthcare for money does provide better service- I cannot argue with that, I mean if I had a family doctor, with three specialists and 3 nurses all devoted to give me the latest and greatest support that money can buy, than for sure the Fraser Institute and all the enemies of public healthcare wins hands down. But somehow in this democracy, they are never put on the spot to actually quantify what they are arguing and so the charade keeps going.

I got rather involved through my PNHP friends in the USA during the Obamacare fight and they are quite a great group of activists. What is also worth mentioning is, they constantly travel around the US with a quite massive power point comparing the US and Canada health care systems, and how ours is economically and service delivery wise much more efficient than the American.

I have invited them up here once to a speaking engagement and they were awesome- if anybody ever needs such a detailed presentation and comparison of our system to the USA, one should contact them as they are quite willing to speak out.

Paul

Comment from Jim EdwardsTime: April 19, 2014, 3:49 pm

“Despite the media reports, the Fraser report actually confirms that public health care is an excellent deal for most Canadian families … .”

This conclusion is derived by comparing the second most expensive health care system in the world to the most expensive. Yet, by most metrics our health care system doesn’t even rank in the top ten.

When did you become a shill for the doctor’s union?

Comment from The Tragically FlipTime: September 20, 2015, 10:49 am

Canada isn’t even in the top 5 most expensive systems anymore. Per-capita, Norway is now #1, for reasons that elude my layman’s understanding of their system.

I agree that we should look to other models than the US: the UK, France & Japan all seem to provide excellent health care at very efficient costs using very different models. I hate that we’re always stuck in the “Canada vs. US”, “public vs private” debate. All the US example tells us is to be very wary of anyone touting “more private care” as the solution to our cost problems, there’s basically no evidence for that proposition, but there are other models that seem to work with some degree of private care in a mostly public model. Perhaps our mix of public/private doesn’t need to change much, but the details of the arrangements might.

We could also cut our national health spending by instituting universal drug & dental plans. Big savings there, though that of course would up the amount of “public” care (which I’m fine with, it evidently would work!).